فهرست مطالب azizeh farzinmehr

Pelvic floor disorders are a common disease which, with varying degrees of severity, disrupts daily life and also decreases the quality of life of the individual. This disease can be cured by lifestyle modifications and self-care education; on the other hand, smartphones have become a good platform for health services and therapeutic interventions. The aim of this study was to identify information and educational components for the self-care application of women with pelvic floor disorders.

This descriptive study was performed in Yas Hospital affiliated to Tehran University of Medical Sciences. According to Morgan table, 30 gynecologists who were randomly selected were included in the study. The data gathering tool was a researcher-made questionnaire which its validity and reliability were confirmed (α=0.85) and its content was provided by reviewing the scientific sources.

The results of the analyzes showed that from the experts’ point of view the interventional section including reminders, daily activities diaries and targeting with an average score of 4.14 has been of great importance. Since then, the applied and self-care section with an average score of 4.364is ranked second in priority.

According to a survey by experts who play a major role in the management of the disease. The essential components of this application were identified in three main sections consist of: electronic records, the interventional section and the practical and self-care and their subsections.

To determine whether Whole Body Vibration Training (WBVT) is effective at improving pelvic floor muscles strength in women with Stress Urinary Incontinence (SUI).
The study was designed as a randomized clinical trial. 43 women with SUI were randomly assigned in two groups; WBVT and Pelvic Floor Muscle Training (PFMT) and received interventions for four weeks. Pelvic floor muscle (PFM) strength, quality of life and incontinence intensity were evaluated. All measurements were conducted pre and post intervention and also after 3 months in all participants. The ANOVA and the independent sample t test were applied respectively to determine the differences in each group and between the groups.
This study showed the WBVT protocol in this study was effective in pelvic floor muscles strength similar to PFMT, and also in reducing the severity of incontinence and increasing I-QOL questionnaire score. We found significant differences in each group pre and post intervention (p = 0.0001); but no significant difference in comparison of two group's outcomes. Also after three-month follow up, there was no significant difference between groups.
The findings of this study showed the beneficial effects of WBVT in improving pelvic floor muscles strength and quality of life in patients with urinary incontinence in four-week treatment period and after three months follow up.

Knee osteoarthritis (OA) is the most common musculoskeletal disease among old individuals which affects ability for sitting on the chair, standing, walking and climbing stairs. Our objective was to investigate the short and long-term effects of the most simple and the least expensive exercise protocols in combination to conventional conservative therapy for knee OA. It was a single blind RCT study with a 12-months follow-up. Totally, 56 patients with knee OA were assigned into 2 random groups. The patients in exercise group received exercise for knee muscles in combination with non-steroid anti-inflammatory drugs (NSAIDs) and 10 sessions acupuncture and physiotherapy modalities. Non-exercise group received similar treatments except exercise program. The changes in patients’ pain and functional status were evaluated by visual analog scale (VAS), knee and osteoarthritis outcome score (KOOS) questionnaire and functional tests (4 steps, 5 sit up, and 6 min walk test) before and after treatment (1 and 3 months after intervention), and 1 year later at the follow-up. The results showed that the patients with knee OA in exercise group had significant improvement in pain, disability, walking, stair climbing, and sit up speed after treatment at first and second follow-up when compared with their initial status and when compared with non-exercise group. At third follow up (1 year later) there was significant difference between groups in VAS and in three items of KOOS questionnaire in functional status. Non aerobic exercises for muscles around knee can augment the effect of other therapeutic interventions like medical therapy, acupuncture, and modalities for knee OA.

Stress urinary incontinence (SUI)، the most common type of UI، is the involuntary leakage of urine from the urethra with an increase in intra-abdominal pressure. Pelvic Floor Muscle (PFM) dysfunction in women may lead to SUI. Thus، one of the effective managements in SUI is Pelvic Floor Muscle Training. PFM strength has a strong relationship with abdominal muscles work، therefore، in the present study، a combination training of PFMT and core exercises is used for the management of SUI. The study was a semi experimental control trail which was approved by the Ethical Committee of Medical Sciences/Tehran University، Main participants were 22 women with proven stress urinary incontinence، VAS score، IQOL questionnaire، PFM strength، PFM static and PFM dynamic tests were evaluated pre and post intervention. The subjects were conducted a three-weekly training program under supervision Conservative management & exercise therapy is recommended as a first line treatment for SUI. The results of this study showed that combined exercise training of core muscles & PFM was associated with the improvement of SUI، in reducing incontinency، increasing the score of IQOL questionnaire، improvement of the PFM strength and endurance in a short duration. There were significant differences in our variables pre and post intervention، including 60% increasing of the total score of IQOL questionnaire، 57% reduction in VAS score and 76% increase in pelvic floor muscle strength. Our findings showed the positive effects of this new exercise protocols in improving the physical condition and quality of life in all participants.